DESTINY MICHELLE NEW (NPI# 1528578051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528578051 |
| Entity Type | Individual |
| Full Name | DESTINY MICHELLE NEW |
| Practice Address |
1201 W Frank Ave Lufkin TX 75904-3357 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1374 |
| Practice Telephone | 9366397706 |
| Mailing Telephone | 2147122037 |
| Mailing Fax Number | 8662073589 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
819660 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP135370 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1201 W FRANK AVE |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904-3357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629059548 | Joe Parker Tait | Registered Nurse | 1201 W Frank Ave, Lufkin, TX 75904-3357 | 2005-11-08 |
| 1851955033 | Shaquitta Lashae Hood | Licensed Vocational Nurse | 1201 W Frank Ave, Lufkin, TX 75904-3357 | 2019-04-23 |
| 1730653841 | Alejos Salais Jr. | Nurse Anesthetist, Certified Registered | 1201 W Frank Ave, Lufkin, TX 75904-3357 | 2019-01-11 |
| 1881173060 | Hospitalist Medicine Physicians of Texas - Lufkin, Pllc | Internal Medicine | 1201 W Frank Ave, Lufkin, TX 75904-3357 | 2018-08-09 |
| 1144748286 | Pineywoods Pain Associates, Pllc | Nurse Anesthetist, Certified Registered | 1201 W Frank Ave, Anesthesia Department, Lufkin, TX 75904-3357 | 2017-09-08 |
| 1336675032 | Patrick Imonitie Igharosa | Internal Medicine | 1201 W Frank Ave, Lufkin, TX 75904-3357 | 2017-05-02 |
| 1972053684 | Patricia Gay Lawson | Nurse Practitioner | 1201 W Frank Ave, Lufkin, TX 75904 | 2016-10-05 |
| 1811445091 | Morgan Grebe | Physician Assistant | 1201 W Frank Ave, Lufkin, TX 75904-3357 | 2016-09-15 |
| 1083162473 | Memorial Health System of East Texas | Clinic/Center | 1201 W Frank Ave, Lufkin, TX 75904 | 2016-09-14 |
| 1548616170 | Chikezie John Ochieze | Family Medicine | 1201 W Frank Ave, Lufkin, TX 75904-3357 | 2016-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
| Find all providers in zip 75904 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212732 | Koshy Vellavoor Jose | Nurse Practitioner | 207 Heather St, Lufkin, TX 75904-4845 | 2020-10-14 |
| 1477169027 | Daniel Ray Baxter | Nurse Practitioner | 180 Plum Rdg, Lufkin, TX 75904-0480 | 2020-09-18 |
| 1114531902 | Stacey Michelle Youngblood | Nurse Practitioner | 1229 Old Ewing Rd, Lufkin, TX 75901-0729 | 2020-08-31 |
| 1659904712 | Amber Davis | Nurse Practitioner | 2110 S John Redditt Dr Ste D, Lufkin, TX 75904-5488 | 2020-02-18 |
| 1316592553 | Angela Moore Whitley | Nurse Practitioner | 4518 Ted Trout Dr Ste A, Lufkin, TX 75904-6642 | 2019-08-05 |
| 1801331624 | Pauline Mopur | Nurse Practitioner | 501 Crown Colony Dr, Lufkin, TX 75901-7715 | 2017-01-03 |
| 1720433865 | Irene Ifeyinwa Uke | Nurse Practitioner | East Texas Behavioral Health Network, 2001 S Medford Dr., Lufkin, TX 75901 | 2016-04-26 |
| 1700243730 | Krista L Tabler Gresham | Nurse Practitioner | 111 E Shepherd Ave, Lufkin, TX 75901-0315 | 2016-01-21 |
| 1073981460 | Christina Michelle Evett | Nurse Practitioner | 203 Christie Dr, Lufkin, TX 75904-5549 | 2015-09-02 |
| 1639545833 | Melissa Huggins | Nurse Practitioner | 415 S 1st St, Suite 130a, Lufkin, TX 75901-3869 | 2015-08-11 |
| Find all providers in LUFKIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.